Short Story - 1767 Words

wide round face with a huge smile and short black hair cut straight as if she had a bowl on her head. Like most Flatheads she was reserved. The top accountant, Gertrude, a local girl exemplified all the typical Flathead features, and appeared quite unattractive wearing glasses as thick as the windshield of a car with a complexion reminiscent of the wicked witch of the east. All in all though the bean counters were a pleasure to work with. They pretty much stayed in the back and criticized all the bookkeeping mistakes the desk clerks made during the day. One could say they were the brains of the operation, as they carried out their duties and kept track of all the beans. As Japes became more and more popular with the staff the Flatheads†¦show more content†¦THE STAGE The night shift was now the new domain and he grew determined to make his mark. Several exciting interactions with a host of celebrities thrilled him to the core. Hailing from a small rural community where the only exposure to a celebrity was on television or at the movies only compounded the interactions. The first exciting moment occurred when he greeted Governor Ronald Reagan in the late 70’s while he was campaigning for president. Although not politically inclined, the sheer enormity of the moment proved exciting, a simple hello and a smile was the extent of their meeting. The hotel, located close to a comedy club, frequently highlighted a number of national comedians. The celebrity you see on television is not always the one you deal with in person. Dom DeLuise delighted everyone when checking in, as he would oftentimes practice one of his routines on new desk clerks all just for fun. One of the regular guests, Joan Rivers, traveled with a large entourage wherever she went. Everyone wanted her time as she was at the peak of her career. She could not have been nicer to every server in the hotel, and exceptionally appreciative for all the services she and her group required. Tony Bennet, also a true gentleman, appeared rather reserved for a famous singer and toured with a small crowd. The security department enlightened Japes’ as to why he was so mellow. Apparently, his guest room suite was filledShow MoreRelatedshort story1018 Words   |  5 Pagesï » ¿Short Stories:  Ã‚  Characteristics †¢Short  - Can usually be read in one sitting. †¢Concise:  Ã‚  Information offered in the story is relevant to the tale being told.  Ã‚  This is unlike a novel, where the story can diverge from the main plot †¢Usually tries to leave behind a  single impression  or effect.  Ã‚  Usually, though not always built around one character, place, idea, or act. †¢Because they are concise, writers depend on the reader bringing  personal experiences  and  prior knowledge  to the story. Four MajorRead MoreThe Short Stories Ideas For Writing A Short Story Essay1097 Words   |  5 Pageswriting a short story. Many a time, writers run out of these short story ideas upon exhausting their sources of short story ideas. If you are one of these writers, who have run out of short story ideas, and the deadline you have for coming up with a short story is running out, the short story writing prompts below will surely help you. Additionally, if you are being tormented by the blank Microsoft Word document staring at you because you are not able to come up with the best short story idea, youRead MoreShort Story1804 Words   |  8 PagesShort story: Definition and History. A  short story  like any other term does not have only one definition, it has many definitions, but all of them are similar in a general idea. According to The World Book Encyclopedia (1994, Vol. 12, L-354), â€Å"the short story is a short work of fiction that usually centers around a single incident. Because of its shorter length, the characters and situations are fewer and less complicated than those of a novel.† In the Cambridge Advanced Learner’s DictionaryRead MoreShort Stories648 Words   |  3 Pageswhat the title to the short story is. The short story theme I am going conduct on is â€Å"The Secret Life of Walter Mitty’ by James Thurber (1973). In this short story the literary elements being used is plot and symbols and the theme being full of distractions and disruption. The narrator is giving a third person point of view in sharing the thoughts of the characters. Walter Mitty the daydreamer is very humorous in the different plots of his dr ifting off. In the start of the story the plot, symbols,Read MoreShort Stories1125 Words   |  5 PagesThe themes of short stories are often relevant to real life? To what extent do you agree with this view? In the short stories â€Å"Miss Brill† and â€Å"Frau Brechenmacher attends a wedding† written by Katherine Mansfield, the themes which are relevant to real life in Miss Brill are isolation and appearance versus reality. Likewise Frau Brechenmacher suffers through isolation throughout the story and also male dominance is one of the major themes that are highlighted in the story. These themes areRead MoreShort Story and People1473 Words   |  6 Pagesï » ¿Title: Story Of An Hour Author: Kate Chopin I. On The Elements / Literary Concepts The short story Story Of An Hour is all about the series of emotions that the protagonist, Mrs. Mallard showed to the readers. With the kind of plot of this short story, it actually refers to the moments that Mrs. Mallard knew that all this time, her husband was alive. For the symbol, I like the title of this short story because it actually symbolizes the time where Mrs. Mallard died with joy. And with thatRead MoreShort Story Essay1294 Words   |  6 PagesA short story concentrates on creating a single dynamic effect and is limited in character and situation. It is a language of maximum yet economical effect. Every word must do a job, sometimes several jobs. Short stories are filled with numerous language and sound devices. These language and sound devices create a stronger image of the scenario or the characters within the text, which contribute to the overall pre-designed effect.As it is shown in the metaphor lipstick bleeding gently in CinnamonRead MoreRacism in the Short Stor ies1837 Words   |  7 PagesOften we read stories that tell stories of mixing the grouping may not always be what is legal or what people consider moral at the time. The things that you can learn from someone who is not like you is amazing if people took the time to consider this before judging someone the world as we know it would be a completely different place. The notion to overlook someone because they are not the same race, gender, creed, religion seems to be the way of the world for a long time. Racism is so prevalentRead MoreThe Idol Short Story1728 Words   |  7 PagesThe short stories â€Å"The Idol† by Adolfo Bioy Casares and â€Å"Axolotl† by Julio Cortà ¡zar address the notion of obsession, and the resulting harm that can come from it. Like all addictions, obsession makes one feel overwhelmed, as a single thought comes to continuously intruding our mind, causing the individual to not be able to ignore these thoughts. In â€Å"Axolotl†, the narr ator is drawn upon the axolotls at the Jardin des Plantes aquarium and his fascination towards the axolotls becomes an obsession. InRead MoreGothic Short Story1447 Words   |  6 Pages The End. In the short story, â€Å"Emma Barrett,† the reader follows a search party group searching for a missing girl named Emma deep in a forest in Oregon. The story follows through first person narration by a group member named Holden. This story would be considered a gothic short story because of its use of setting, theme, symbolism, and literary devices used to portray the horror of a missing six-year-old girl. Plot is the literal chronological development of the story, the sequence of events

Analysis Of Willa Cather s Paul s Case - 1009 Words

In Willa Cather’s â€Å"Paul’s Case: A Study in Temperament†, a short story set in Pittsburgh and New York, Cather introduces us to the young Paul. Self-centered, delusional, and some may even argue, narcissistic, Paul is fascinated and encapsulated by the fine arts around him. Whether it be in the theater where he ushers, the art gallery at Carnegie Hall, or the hotel he runs away to in New York, Paul is always finding a way to escape what he considers a hopeless and mundane reality back home, through the arts. What’s interesting to note however is the way that Paul relates to the arts, which seems almost dysfunctional. As mentioned previously, Paul uses the arts as a way to escape from his reality, but it never satisfies him in the long term. The arts become like a drug for him, giving him short lived highs and allowing Paul to lose himself in the moment, even giving him periods of depression and withdrawal in between and ultimately leading him to suicid e. It is interesting to ponder why Paul’s relationship with the arts is this way, and through a close read and analysis of the text, one can infer that Paul never plays an active role (except for himself) in the arts. He never analyzes or interprets, he never finds himself intrigued or provoked. He just allows himself to get lost in the splendor of it all, sequentially enabling a depressed and destructive life as opposed to a potentially satisfying and long-lasting one. plot overview- pauls life at home vs where he escapesShow MoreRelatedAnalysis Of Willa Cather s Paul s Case 1433 Words   |  6 PagesPaul s Case was and still is one of Willa Cather s best stories which reflects the point of view of an underprivileged young man in the old Pittsburg of the 1900s. Willa describes the main character Paul as an overwhelming mystery that no one seems to understand or accept. . Paul s Case is the source of several different themes such as the dangers of misusing money and the addictiveness of art. The theme least analyzed in Cather s short’s is the homosexual nature of the main character which explainsRead More Willa Cathers Paul‟s Case: A Study in Temperament Essay1867 Words   |  8 PagesWilla Cather‟s â€Å"Paul‟s Case: A Study in Temperament† (1905) invites the reader to wonder, â€Å"What really is Paul‟s case?† Cather provides us with ample clues and descriptions of Paul‟s temperament with remar kable detail and insight into the human psyche considering that she had no formal background in psychology and that she was writing when Sigmund Freud was just beginning to publish his theories and was therefore writing by intuitive observation rather than by using a scientific approach. BecauseRead Moredsfsdsfs4469 Words   |  18 Pagespiece of writing written from an author s personal point of view, but the definition is vague, overlapping with those of an article and a short story. Essays can consist of a number of elements, including: literary criticism, political manifestos, learned arguments, observations of daily life, recollections, and reflections of the author. Almost all modern essays are written in prose, but works in verse have been dubbed essays (e.g. Alexander Pope s An Essay on Criticism and An Essay on Man)

Deception Point Page 83 Free Essays

Tolland turned to her. â€Å"You okay? You could have stayed onshore. I told you that. We will write a custom essay sample on Deception Point Page 83 or any similar topic only for you Order Now † I should have stayed onshore, Rachel thought, knowing pride would never have let her. â€Å"No thanks, I’m fine.† Tolland smiled. â€Å"I’ll keep an eye on you.† â€Å"Thanks.† Rachel was surprised how the warmth in his voice made her feel more secure. â€Å"You’ve seen the Goya on television, right?† She nodded. â€Å"It’s a†¦ um†¦ an interesting-looking ship.† Tolland laughed. â€Å"Yeah. She was an extremely progressive prototype in her day, but the design never quite caught on.† â€Å"Can’t imagine why,† Rachel joked, picturing the ship’s bizarre profile. â€Å"Now NBC is pressuring me to use a newer ship. Something†¦ I don’t know, flashier, sexier. Another season or two, and they’ll make me part with her.† Tolland sounded melancholy at the thought. â€Å"You wouldn’t love a brand-new ship?† â€Å"I don’t know†¦ a lot of memories onboard the Goya.† Rachel smiled softly. â€Å"Well, as my mom used to say, sooner or later we’ve all got to let go of our past.† Tolland’s eyes held hers for a long moment. â€Å"Yeah, I know.† 98 â€Å"Shit,† the taxi driver said, looking over his shoulder at Gabrielle. â€Å"Looks like an accident up ahead. We ain’t going nowhere. Not for a while.† Gabrielle glanced out the window and saw the spinning lights of emergency vehicles piercing the night. Several policemen stood in the road ahead, halting traffic around the Mall. â€Å"Must be a hell of an accident,† the driver said, motioning toward some flames near the FDR Memorial. Gabrielle frowned at the flickering glow. Now, of all times. She needed to get to Senator Sexton with this new information about PODS and the Canadian geologist. She wondered if NASA’s lies about how they found the meteorite would be a big enough scandal to breathe life back into Sexton’s campaign. Maybe not for most politicians, she thought, but this was Sedgewick Sexton, a man who had built his campaign on amplifying the failures of others. Gabrielle was not always proud of the senator’s ability to put negative ethical spin on opponents’ political misfortunes, but it was effective. Sexton’s mastery of innuendo and indignity could probably turn this one compartmentalized NASA fib into a sweeping question of character that infected the entire space agency-and by association, the President. Outside the window, the flames at the FDR Memorial seemed to climb higher. Some nearby trees had caught fire, and the fire trucks were now hosing them down. The taxi driver turned on the car radio and began channel-surfing. Sighing, Gabrielle closed her eyes and felt the exhaustion roll over her in waves. When she’d first come to Washington, she’d dreamed of working in politics forever, maybe someday in the White House. At the moment, however, she felt like she’d had enough politics for a lifetime-the duel with Marjorie Tench, the lewd photographs of herself and the senator, all of NASA’s lies†¦ A newscaster on the radio was saying something about a car bomb and possible terrorism. I’ve got to get out of this town, Gabrielle thought for the first time since coming to the nation’s capital. 99 The controller seldom felt weary, but today had taken its toll. Nothing had gone as anticipated-the tragic discovery of the insertion shaft in the ice, the difficulties of keeping the information a secret, and now the growing list of victims. Nobody was supposed to die†¦ except the Canadian. It seemed ironic that the most technically difficult part of the plan had turned out to be the least problematic. The insertion, completed months ago, had come off without a hitch. Once the anomaly was in place, all that remained was to wait for the Polar Orbiting Density Scanner (PODS) satellite to launch. PODS was slated to scan enormous sections of the Arctic Circle, and sooner or later the anomaly software onboard would detect the meteorite and give NASA a major find. But the damned software didn’t work. When the controller learned that the anomaly software had failed and had no chance of being fixed until after the election, the entire plan was in jeopardy. Without PODS, the meteorite would go undetected. The controller had to come up with some way to surreptitiously alert someone in NASA to the meteorite’s existence. The solution involved orchestrating an emergency radio transmission from a Canadian geologist in the general vicinity of the insertion. The geologist, for obvious reasons, had to be killed immediately and his death made to look accidental. Throwing an innocent geologist from a helicopter had been the beginning. Now things were unraveling fast. Wailee Ming. Norah Mangor. Both dead. The bold kill that had just taken place at the FDR Memorial. Soon to be added to the list were Rachel Sexton, Michael Tolland, and Dr. Marlinson. There is no other way, the controller thought, fighting the growing remorse. Far too much is at stake. 100 The Coast Guard Dolphin was still two miles from the Goya’s coordinates and flying at three thousand feet when Tolland yelled up to the pilot. â€Å"Do you have NightSight onboard this thing?† The pilot nodded. â€Å"I’m a rescue unit.† Tolland had expected as much. NightSight was Raytheon’s marine thermal imaging system, capable of locating wreck survivors in the dark. The heat given off by a swimmer’s head would appear as a red speck on an ocean of black. â€Å"Switch it on,† Tolland said. The pilot looked confused. â€Å"Why? You missing someone?† â€Å"No. I want everyone to see something.† â€Å"We won’t see a thing on thermal from this high up unless there’s a burning oil slick.† â€Å"Just switch it on,† Tolland said. The pilot gave Tolland an odd look and then adjusted some dials, commanding the thermal lens beneath the chopper to survey a three-mile swatch of ocean in front of them. An LCD screen on his dashboard lit up. The image came into focus. â€Å"Holy shit!† The helicopter lurched momentarily as the pilot recoiled in surprise and then recovered, staring at the screen. Rachel and Corky leaned forward, looking at the image with equal surprise. The black background of the ocean was illuminated by an enormous swirling spiral of pulsating red. Rachel turned to Tolland with trepidation. â€Å"It looks like a cyclone.† â€Å"It is,† Tolland said. â€Å"A cyclone of warm currents. About a half mile across.† The Coast Guard pilot chuckled in amazement. â€Å"That’s a big one. We see these now and then, but I hadn’t heard about this one yet.† â€Å"Just surfaced last week,† Tolland said. â€Å"Probably won’t last more than another few days.† â€Å"What causes it?† Rachel asked, understandably perplexed by the huge vortex of swirling water in the middle of the ocean. â€Å"Magma dome,† the pilot said. Rachel turned to Tolland, looking wary. â€Å"A volcano?† â€Å"No,† Tolland said. â€Å"The East Coast typically doesn’t have active volcanoes, but occasionally we get rogue pockets of magma that well up under the seafloor and cause hot spots. The hot spot causes a reverse temperature gradient-hot water on the bottom and cooler water on top. It results in these giant spiral currents. They’re called megaplumes. They spin for a couple of weeks and then dissipate.† The pilot looked at the pulsating spiral on his LCD screen. â€Å"Looks like this one’s still going strong.† He paused, checking the coordinates of Tolland’s ship, and then looked over his shoulder in surprise. â€Å"Mr. Tolland, it looks like you’re parked fairly near the middle of it.† Tolland nodded. â€Å"Currents are a little slower near the eye. Eighteen knots. Like anchoring in a fast-moving river. Our chain’s been getting a real workout this week.† How to cite Deception Point Page 83, Essay examples

GASB Statement 34 and Reporting of Expenditures †Free Samples

Questions: 1.Although Statement No. 34 requires that infrastructure assets be accounted for similarly to other capital assets, it allows for a major exception regarding depreciation. What is that exception? 2.A governments interest expenditure as reported in its debt service fund differs significantly from its interest expense, as reported in its government-wide statements. What is the most likely explanation for the difference? Answers: Introduction This report presents solutions to two questions which discuss major exceptions in reporting of government accounts. First solution discusses the exception regarding reporting of depreciation in infrastructure assets. Second solution presents a possible explanation to difference in interest reporting between two categories of government funds. 1.Solution GASB 34 sets out guidelines for reporting of accounts of all local and state governments in United States of America (GASB, 2018). In majority of cases, long lived assets are required to be depreciated over their lives. This solution explains a major exception in reporting of depreciation of infrastructure assets under GASB statement 34 guidelines. Capital assets are assets that can be used in operations of the business for more than one reporting period and are not intended for sale during normal operations of a company. Long lived assets with useful lives significantly more than majority of capital assets and immovable in nature are called as infrastructure assets. Normally all long lived assets are required to be depreciated over their useful lives. Modified approach of depreciation is applied to certain eligible infrastructure assets. These eligible assets are part of a network or subsystem of network. Under modified approach these infrastructure assets are not depreciated if two conditions are met (Ruppel, 2004). First, these assets are managed by the government with help of an asset management system that has following characteristics. Inventory levels of these assets are maintained up to date by the system. Conditional assessment of these assets is performed by the system and uses a measurement scale by which results are summarised. The system also calculates annual maintenance and preservation expenses of the assets. Secondly, the documentation process regarding maintenance of these assets at pre-defined minimum level is carried out. Professional discretion is required to decide about quantity of documentary evidence which required to be maintained by the system. GASB Statement No 34 species things that are required to be documented, such as given below Conditional assessment is conducted consistently at least once in three years using statistical samples. This assessment is considered to be appropriate and complete if carried out on a regular basis. Observations from these assessments ensure that these assets are being maintained at pre-defined minimum levels. Therefore, modified approach is an exception for recording of depreciation of assets, under it these assets are capitalized if above two conditions are met. 2.Solution: GASB 34 sets out condition for financial reporting of governmental accounts. Interest associated with various long term liabilities is reported differently under different circumstances. This solution provides for the possible explanation for difference in interest reporting between debt service fund and government wide funds Government wide statements are prepared using accrual basis of accounting and report financial performance of the government. They report all expenditures, revenues, losses, gains, assets and liabilities of the government. On the other hand governmental fund financial statements are prepared using modified accrual basis of accounting (Crawford Loyd, 2008). Current financial resources are taken into consideration for preparation of these statements. A cash reserve utilized for fulfilling interest and principal payments requirements on a particular category of debt is referred to as debt service fund. The purpose of such reserve is risk reduction for investors. Debt service fund also helps in reducing effective interest rate. Debt service fund is a part of governmental fund financial statements. Expenditures of debt service funds are reported under other expenditure classification. The main difference between the interest expense reported in the debt service fund and that reported in the government-wide statements is due to different accounting approaches being followed. While reporting the interest in the debt service fund, only cash payment is taken into consideration but the interest amount reported in the government-wide statements also takes into account the accrued amounts. The interest amount reported in the government-wide statements is inclusive of amortized amounts (Bogui, 2008). Thus, there is significant difference between the reporting of interest expenditure between government-wide funds and debt service fund. This solution provides the possible explanation for this difference. Conclusion GASB statement 34 sets the guidelines for reporting of accounts of government. However, there are some exceptions in various reporting procedures. The above two solutions discuss and throw light on the possible explanation of two such exceptions. In first solution, it is concluded that long lived infra assets are not depreciated under certain conditions. Second solution provides the explanation that due to different accounting approaches being followed, there is difference in interest reporting between debt service fund and government-wide funds. References Bogui, F. (2008). Handbook of governmental accounting. New York, USA: Crc Press. Crawford, M. A., Loyd, D. S. (2008). Governmental gaap practice manual. Chicago, USA: Cch. GASB. (2018). Summary of statement no 34. Retrieved from https://www.gasb.org/st/summary/gstsm34.html Ruppel, W. (2004). Governmental accounting made easy. New Jersey, USA: John Willey Sons.

The Evolution Of The Microprocessor Persuasive Essay Example For Students

The Evolution Of The Microprocessor Persuasive Essay Word Count: 2326Only once in a lifetime will a new invention come about to touch every aspect of our lives. Such a device that changes the way we work, live, and play is a special one, indeed. The Microprocessor has been around since 1971 years, but in the last few years it has changed the American calculators to video games and computers (Givone 1). Many microprocessors have been manufactured for all sorts of products; some have succeeded and some have not. This paper will discuss the evolution and history of the most prominent 16 and 32 bit microprocessors in the microcomputer and how they are similar to and different from each other. We will write a custom essay on The Evolution Of The Microprocessor Persuasive specifically for you for only $16.38 $13.9/page Order now Because microprocessors are a subject that most people cannot relate to and do not know much about, this paragraph will introduce some of the terms that will be in-volved in the subsequent paragraphs. Throughout the paper the 16-bit and 32-bit mi-croprocessors are compared and contrasted. The number 16 in the 16-bit microproces-sor refers how many registers there are or how much storage is available for the mi-croprocessor (Aumiaux, 3). The microprocessor has a memory address such as A16, and at this address the specific commands to the microprocessor are stored in the memory of the computer (Aumiaux, 3). So with the 16-bit microprocessor there are 576 places to store data. With the 32-bit microprocessor there are twice as many places to store data making the microprocessor faster. Another common term which is mentioned frequently in the paper is the oscil-lator or the time at which the processors clock ticks. The oscillator is the pace maker for the microprocessor which tells what f requency the microprocessor can proc-ess information, this value is measured in Mega-hertz or MHz. A nanosecond is a measurement of time in a processor, or a billionth of a second. This is used to measure the time it takes for the computer to execute an instructions, other wise knows as a cy-cle. There are many different types of companies of which all have their own family of processors. Since the individual processors in the families were developed over a fairly long period of time, it is hard to distinguish which processors were introduced in order. This paper will mention the families of processors in no particular order. The first microprocessor that will be discussed is the family of microprocessors called the 9900 series manufactured by Texas Instruments during the mid-70s and was developed from the architecture of the 900 minicomputer series (Titus, 178). There were five dif-ferent actual microprocessors that were designed in this family, they were the TMS9900, TMS9980A, TMS9981, TMS9985, and the TMS9940. The TMS9900 was the first of these microprocessors so the next four of the microprocessors where simply variations of the TMS9900 (Titus, 178). The 9900 series microprocessors runs with 64K memory and besides the fact that the 9900 is a 16-bit microprocessor, only 15 of the address memory circuits are in use (Titus, 179). The 16th address is used for the computer to distinguish between word and data functions (Titus, 179. The 9900 series microprocessors runs from 300 nanoseconds to 500 ns from 2MHz to 3.3MHz and even some variations of the original microprocessor where made to go up to 4MHz (Avtar, 115). The next microprocessor that will be discussed is the LSI-11 which was pro-duced from the structural plans of the PDP-11 minicomputer family. There are three microprocessors in the LSI-11 family they are the LSI-11, LSI-11/2, and the much im-proved over the others is the LSI-11/32 (Titus, 131). The big difference between the LSI-11 family of microprocessors and other similar microprocessors of its kind is they have the instruction codes of a microcomputer but since the LSI-11 microprocessor originated from the PDP-11 family it is a multi-microprocessor (Avtar, 207). The fact that the LSI-11 microprocessor is a multi-microprocessor means that many other mi-croprocessors are used in conjunction with the LSI-11 to function properly (Avtar, 207). The LSI-11 microprocessor has a direct processing speed of 16-bit word and 7-bit data, however the improved LSI-11/22 can directly process 64-bit data (Titus, 131). The average time that the LSI-11 and LSI-11/2 process at are 380 nanoseconds, wh ile the LSI-11/23 is clocked at 300 nanoseconds (Titus, 132). There are some great strengths that lie in the LSI-11 family, some of which are the efficient way at which the microprocessor processes and the ability to run minicomputer software which leads to great hardware support (Avtar, 179). Although there are many strengths to the LSI-11 family there are a couple of weaknesses, they have limited memory and the slow-ness of speed at which the LSI-11 processes at (Avtar, 179). .u7ca9e2474c2e4e2647675009efd7686d , .u7ca9e2474c2e4e2647675009efd7686d .postImageUrl , .u7ca9e2474c2e4e2647675009efd7686d .centered-text-area { min-height: 80px; position: relative; } .u7ca9e2474c2e4e2647675009efd7686d , .u7ca9e2474c2e4e2647675009efd7686d:hover , .u7ca9e2474c2e4e2647675009efd7686d:visited , .u7ca9e2474c2e4e2647675009efd7686d:active { border:0!important; } .u7ca9e2474c2e4e2647675009efd7686d .clearfix:after { content: ""; display: table; clear: both; } .u7ca9e2474c2e4e2647675009efd7686d { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u7ca9e2474c2e4e2647675009efd7686d:active , .u7ca9e2474c2e4e2647675009efd7686d:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u7ca9e2474c2e4e2647675009efd7686d .centered-text-area { width: 100%; position: relative ; } .u7ca9e2474c2e4e2647675009efd7686d .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u7ca9e2474c2e4e2647675009efd7686d .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u7ca9e2474c2e4e2647675009efd7686d .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u7ca9e2474c2e4e2647675009efd7686d:hover .ctaButton { background-color: #34495E!important; } .u7ca9e2474c2e4e2647675009efd7686d .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u7ca9e2474c2e4e2647675009efd7686d .u7ca9e2474c2e4e2647675009efd7686d-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u7ca9e2474c2e4e2647675009efd7686d:after { content: ""; display: block; clear: both; } READ: Gsm: Network Architecture EssayThe next major microprocessors in the microcomputing industry were the Z8001 and Z8002, however when the microprocessor entered into the market the term Z8000 was used to mean either or both of the microprocessors (Titus, 73). So when describing the features of both the Z8001 and the Z8002, they will be referred to as the Z8000. The microprocessor was designed by the Zilog Corporation and put out on the market in 1979 (Titus, 73). The Z8000 are a lot like the many other previous micro-processors except for the obvious fact that it is faster and better, but are similar be-cause they depend on their registers to function properly (Titus, 73). T he Z8000 was improved by using 21 16-bit registers, 14 of them are used for general purposes opera-tions (Titus, 73). The difference with the Z8001 and the Z8002 is the Z8002 can only address 65K bytes of memory, which is fascinating compared to the microprocessors earlier in time but is greatly inferior to the Z8001 which can address 8M bytes (8000K) of memory (Titus, 73). The addressing memory between the two otherwise very simi-lar microprocessors is drastically different were as other functions of the microproces-sors seem to be quite the same. An example of this is the cycle time. The cycle time is 250 nanoseconds and the average number of cycles that occur per instruction are be-tween 10 and 14 for both microprocessors (Avtar, 25). The next microprocessor that will be discussed is the 8086. This microproces-sor is the best in my opinion, out of all the 16-bit microprocessors. Not only because the speeds of processing are tremendous, but because it simply paved the way to the 3 2-bit microprocessors using various techniques that will be discussed later. The 8086 was the second Intel microprocessor (being preceded by the 8080) (Avtar, 19). The 8086 was introduced in early 1978 by Intel (Avtar, 19). Like so many of the other processors the 8086 is register oriented with fourteen 16-bit registers, eight of which are used for general processing purposes (Avtar, 19). The 8086 can directly address 1MB (1,048,576 bytes) which is used only in accessing Read Only Memory. The ba-sic clock frequency for the 8086 is between 4MHz and 8MHz depending on the type of 8086 microprocessor that is used (Avtar, 20). Up until this point in the paper there have been common reoccurring phrase such as a microprocessor containing 14 16-bit registers. At this time in the evolution of microprocessors come the 32-bit register, which obviously has double the capacity to hold information for the microprocessor. Because of this simple increase of the register capacity we have a whole different type of microprocessor. Although the 16-bit and 32-bit microprocessors are quite different (meaning they have more compo-nents and such), the 32-bit microprocessors will be described in the same terms as the 16-bit microprocessors were. The remainder of the paper will discuss the 32-bit microprocessor series. The external data bus is a term that will be referred to in the remainder of the paper is. The data bus is basically what brings data from the memory to the processor and from the processor to the memory (Givone, 123). The data bus is similar to the registers located on the microprocessor but are a little bit sl ower to access (Givone, 123). The first 32-bit microprocessor in the microprocessor industry that will be dis-cussed is the series 32000 family and was originally built for main-frame computers. In the 32000 family all of the different microprocessors have the same 32-bit internal structure; but may have external bus values such as 8, 16, or 32 bits (Mitchell, 225). In the 32000 family the microprocessors use only 24 of the potential 32 bit addressing space, giving the microprocessor a 16 Mbyte address space (Mitchell, 225). The 32-bit registers are set up so there are six 32-bit dedicated registers and then in combina-tion there are two 16-bit dedicated registers (Mitchell, 231). Each dedicated register has its own type of specific information that it holds for processing (Mitchell, 232). The microprocessors oscillator (which now comes from an external source) runs at 2.5 MHz, but due to a divide-by-four prescaler the clock frequency runs at 10MHz. There have been many new ideas pu t into practice to improve the 32000 series micro-processor generally and thus making it run faster and more efficient. .u7c10f6d17124aa55c47c091621ddac99 , .u7c10f6d17124aa55c47c091621ddac99 .postImageUrl , .u7c10f6d17124aa55c47c091621ddac99 .centered-text-area { min-height: 80px; position: relative; } .u7c10f6d17124aa55c47c091621ddac99 , .u7c10f6d17124aa55c47c091621ddac99:hover , .u7c10f6d17124aa55c47c091621ddac99:visited , .u7c10f6d17124aa55c47c091621ddac99:active { border:0!important; } .u7c10f6d17124aa55c47c091621ddac99 .clearfix:after { content: ""; display: table; clear: both; } .u7c10f6d17124aa55c47c091621ddac99 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u7c10f6d17124aa55c47c091621ddac99:active , .u7c10f6d17124aa55c47c091621ddac99:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u7c10f6d17124aa55c47c091621ddac99 .centered-text-area { width: 100%; position: relative ; } .u7c10f6d17124aa55c47c091621ddac99 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u7c10f6d17124aa55c47c091621ddac99 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u7c10f6d17124aa55c47c091621ddac99 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u7c10f6d17124aa55c47c091621ddac99:hover .ctaButton { background-color: #34495E!important; } .u7c10f6d17124aa55c47c091621ddac99 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u7c10f6d17124aa55c47c091621ddac99 .u7c10f6d17124aa55c47c091621ddac99-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u7c10f6d17124aa55c47c091621ddac99:after { content: ""; display: block; clear: both; } READ: The For A Family History Project EssayThe next family of microprocessor which was fabricated for the microcomputer is the MC68020 32-bit microprocessor which is based on the MC68000 family. The other microprocessors that are included in this family are the MC68000, MC68008, MC68010 and the MC68012 (Avtar, 302). Before going into the types of components that this microprocessor contains, it should first be know that the making of the MC68020 has been the product of 60 man-years of designing including the manufac-turing of the High-density Complementary Metal Oxide Semiconductor giving the mi-croprocessor high speed and low resistance and heat loss (Avtar, 302). Because of a ll the work that was put into the MC68020 and its other related microprocessors, it is an extremely complex microprocessor. The MC68020 operates in two modes, these are the user mode(for application programs) or the supervisor mode (the operating system and other special functions) (Mitchell, 155). The user and supervisor modes all have there own specific registers to operate their functions. The user programming has 17 32-bit address registers, and an 8-bit register (Mitchell, 155). Then the supervisor pro-gramming has three 32-bit, an 8-bit and two 3-bit registers for small miscellaneous functions (Mitchell, 155). All of these registers within the two modes are split up into different groups which would hold different information as usual, but this set up of registers gives the microprocessors a 20 32-bit information storing capacity. The next family of microprocessor is Intels 80386 and 80486 families. The 80386 and 80486 were mostly over all better then the other microprocessors being made by the different companies in the industry at this time, simply because Intel is now the leading microprocessor producer in todays market. The 80386 was a product that evolved from Intels very first microprocessor, the 8-bit 8080 (Mitchell, 85). Then next came the earlier mentioned 16-bit 8086. The reason why Intel did so well in the market for microprocessors was because every microprocessor that they made was compatible with the previous and future (Mitchell, 85). This means that if a piece of software worked on the 8080 then it worked on the future microprocessors and vice-a-versa. Not only did Intel look forward but they looked back. The main difference between the 80386 and the other 32-bit microprocessors is the added feature of a bar-rel shifter (Mitchell, 88). The barrel shifter allowed information to switch places mul-tiple times in the registers within a single cycle (Mitchell, 88). The microprocessor contains 8 general purpose 32-bit registers, but with the ba rrel shifter that is increased to the equivalent of a 64-bit microprocessor. For the most common 20MHz 80386 microprocessor the run time for each cycle is 59 nanoseconds, but for a 33MHz mi-croprocessor the cycle time is reduced to 49 nanoseconds. The next 32-bit microprocessor in market are ATTs WE32100 and 32200 (Mitchell, 5). These microprocessors also needed six peripheral chips in order to run, these are termed: Memory Management Units, floating point arithmetic, Maths Accel-eration Units, Direct Memory Access Control, and Dynamic Rand Access Memory Control (Mitchell, 5). These microprocessors apart from the microprocessors all work an important part of processing the data that comes through the microprocessor. The difference from this microprocessor and the others is because the WE32200 address information over the 32-bit range with the help of a disk to work as a slow form of memory (Mitchell, 9). The WE32200 microprocessor runs at a frequency of 24MHz (Mitchell, 9). The 16-bit and 32-bit microprocessors are a mere page in the great book of processor history. There will be many new and extremely different processors in the near future. A tremendous amount of time and money have been put into the making and improving of the microprocessor. The improving and investment of billions of dollars are continually going toward the cause of elaborating the microprocessors. The evolution of the microprocessor will continue to evolve for the better until the time when a much faster and more efficient electronic device is invented. This is turn will create a whole new and powerful generation of computers. Hopefully this paper has given the reader some insight into the world of microprocessor and how much work has been put into the manufacturing of the microprocessor over the years. BibliographyMitchel, H.J. 32-bit Microprocessors. Boston: CRC Press. 1986,1991Titus, Christopher A. 16-Bit Microprocessors. Indiana: Howard W. Sams Co., Inc. 1981Aumiaux, M. Microprocessor Systems. New York: John Wiley Sons. 1982Givone, Donald D.; Rosser, Robert P. Microprocessors/Microcomputers. New York: McGraw-Hill Book Company. 1980Avtar, Singh. 16-Bit and 32-Bit Microprocessors: Architecture, Software, and Interfacing Techniques: New Jersey. Englewood Cliffs. 1991

Discusses the management of risk in the care of older adults in hospitals The WritePass Journal

Discusses the management of risk in the care of older adults in hospitals Introduction Discusses the management of risk in the care of older adults in hospitals IntroductionReferences:Related Introduction This essay critically discusses the management of risk in the care of older adults in hospitals, in the prevention of falls.The rationale for selecting this topic is based on several factors.   According to Nazarko (2008), elderly people are admitted to hospital for a variety of health conditions. The family of the patient trust that they are being cared for in a safe environment. However, every environment carries a physical risk to the people within it and this essay will focus on the fact that older people admitted to hospital are more susceptible to experiencing falls (Nazarko, 2008). Moreover, the National Patient Safety agency (NPSA) (2007) state that there are more than two hundred thousand falls that occur in NHS hospitals in England and Wales. NHS Greater Glasgow and Clyde (2011) state that one of the biggest admission for hospital in elderly people are falls. Out of that figure, 99% of them are unhurt, minor or moderate injuries, however 1% of those falls cause severe inj ury, death or fracture bones. Falls are a major problem in hospitals as well as outside of hospital in the UK. Various studies have shown that 30-50% of the population are over 65years old. Most of those falls are happening in the nursing home setting and 10-20 % cause severe injuries (Kennedy 2010, Pountney 2009a and Weaver 2008). Adding to this rationale, Pereault and Bourbonnaise (2005) state that the nurse’s role is to take care of patients from the first time s/he enters the door of the healthcare environment, through assessments, appointments, surgery or any other treatment, as well as discharge of patients from hospitals. Therefore a focus on falls prevention is essential. For this reason author has chosen to focus on this topic. It defines risk and then identifies and explains the nurse’s role in risk assessment and management of elderly people in the hospital and nursing home settings. The essay will highlight why people experience falls, the different the contributing factors that can affect their balance whilst in a professional care setting.   The risks are and how risk management can be used to prevent older people who are in hospital falling as a result of residing within this environment are critically discussed. To do so key measures in place that aim to minimise risk and maximise patient safety in the clinical environment are therefore evaluated. One of the methods this essay will examine is the five HSE steps of how to manage risk in the working environment in practice. There will be an in depth analysis of two different case studies of the STRATIFY risk assessment tool, to show the weaknesses and strengths of this tool. The essay w ill explore the difference education and training can have on the quality of care. The Health and Safety Executive (HSE 2006) state that every day in our life we come across risks. It may be in or outside our homes, as well as in the working environment. Kennedy (2008) states that risk can be described as an episode where something valuable or someone can be affected or damaged and where there is uncertainty of the outcome. Leyshon (2005) have stated that before any action to manage it, risk must be identified in the first place. To improve the health and safety environment in the work place assessing, measuring and controlling risk is therefore essential. The Department of Health (2006) state that ten percent of patients admitted to hospital will be negatively impacted as a result of an avoidable error separate to the original reason that they were admitted. They also state that risks could be reduced by as much as 50%if lessons from previous risk incidents were recorded and analysed. This would therefore serve to reduce the possibility of the same mistake recurring. Tingle (2006) provides further support to this by adding that if lessons were learned from previous incidents it would also help to save costs to the NHS. According to Mitchell (2009), falls can cost the NHS upwards of 1.7 billion pounds a year. Therefore, nurses can have a significant impact on this by promoting patient safety in the NHS to improve care for patients and protect them from any harm, whilst saving money. According to the Nursing and Midwifery Council (NMC) (2008) code of conduct the nurse is responsible for taking care and treating patients with dignity and respect whilst reducing the risk of further harm. Leyshon (2005) suggested that the areas to be focused on in an effort to reduce risks and to protect patients from harm are to assess the work environment and appropriately manage the known risks, as well as being aware of, and minimising, other probable risks. The goal to minimise risk in the healthcare setting means that nurses and other healthcare professionals should critically evaluate past events that have had a negative effect on practice and there should be focus on vulnerabilities and how risks can be managed. Mills and Bowker (2007) further state that there are many ways to assess risk in the health care environment. However, they highlight a simple understanding of the risk assessment tools can help staff develop better understanding of the advantages of successful risk assessment. The Health and Safety Executive (HSE) (2006) identify five easy steps to assess risk in any work place environment which has also been successfully put into practice. The first step is to identify the risk, recognize strengths and weakness to reduce risk and reach the aim using a method, such as a risk check list. Nazarko (2005) also agrees that risk needs to be identified in the first place and then we can take care of those who are at risk to minimize risk. The HSE (2003) states that, the second step is to assess who may be harmed and how using appropriate risk management tools, such as a scoring system, which are individual for different risk assessments. The third step is to evaluate the risk.   Accordin g to Young and Woodock (2011) an important question is whether the hazard can be eliminated altogether by removing it.   If this is not possible it must be controlled so as to reduce the chance of harm. According to Waterhouse (2007) the fourth step of HSE risk management is the recording method. The most important part of this method is identified as keeping a record of the patient’s risk assessment. This way, safety is improved and it is shared amongst colleagues as essential practice to protect patients from harm. This also applies to the NMC code of conduct (2008) as good practice, such that information must be shared with colleagues to maintain the safety of those for whom nurses are taking care. The last step of risk assessment is the review which must occur on a daily and ongoing basis to protect patients from hazards. This is constantly monitored to determine progress and changes to their condition. There may be some improvement or adversely, there may be some changes with patient’s health and risk assessments. Therefore it is vital that they must always be accurately recorded and kept up to date. Fullbrook (2007) agreed with these studies, adding that from the nurse’s point of view, assessment is the most important part of risk management. Nurses assess all of the issues that can have an impact on clinical practice and the nurse will often be the first to identify potential difficulties in their working environment, as they are there on a daily basis. According to Hughes and Marshall (2009) risk can be separated into three categories: long-term, medium term and short term. Dependant on the risk classification, the implementation of measures to mitigate the risk vary, according to the size and complexity of the task. These issues in risk are particularly relevant to management of falls in healthcare environments. A study by Pountney (2009b) shows that falls mostly occur in either the morning or evening time due to medication such as night sedation, make them unsteady, visiting the toilet – incontinence first thing in the morning as well as inappropriate shoes making elderly people’s mobility unsteady. Therefore as a result of this, nurses and other healthcare staff must spend more time with those patients, at these times, to protect them from harm. Nazarko (2007) stated that people in hospital who are inpatients are individuals and all of them have a different reason for being in care.   As they are unwell and are often extremely weak they may be at risk of falls. There are many factors that can affect body balance and cause falls, such as age, disease or medication. Some of them may have some obstacles to stop them being fully mobilized like catheter in-situ, drip stand, and as a result of their injuries they may be confused which makes it even harder for them to be mobile with those obstacles. Therefore it is important for nurses and other staff   to have better contact with those patients to provide the best possible care of patients be observed to reduce and minimize the risk of falls. Swann (2010) also added that unsafe clinical areas like broken and wet floor can cause falls. Barker et al (2010) stated there are many assessment tools in the hospital setting to help prevent falls and there are key measures to successful prevention, recommended by many clinical practice guidelines. However those tools are not effective if they are not used appropriately and if healthcare professionals do not evaluate them. Therefore it is the nurse’s responsibility for updating these tools, as assessment is on-going process and patient’s conditions may change. Oliver et al (2008)   advise that 10 years ago there was a practice   risk a assessment tool for rehabilitation published and delivered in the UK for elderly as well as for acute wards known as the St Thomas’ Risk Assessment Tool (STRATIFY). This fall risk assessment tool is to identify high or low risk of falls and have been designed in five simple scoring systems from 0- 5 to predict who may be at risk of falls. According to Kennedy (2010) nurses should have special training to use the STRATIFY risk assessment tool which will raise awareness when used in practise to prevent patients from falls to protect them from further harm or injury. Milisen et al (2007) described in their purposive multicenter study where they evaluated the effectiveness of the STRATIFY fall assessment risk tool. The study was carried out in six Belgian hospitals, the sample size was 2,568 participants mixed female and male and the average age was 67.2 ranging between plus and minus 18.4. The study was carried out in a four surgical, eight elderly and four medical units. The findings of this study show the effectiveness of the STRATIFY tool in the admission of patients in medical and surgical settings for patients younger than 74 show that assessment predict risk of falls well for this age group category. However it was not as successful when measured against an older population, above of 75-85 age range that are admitted in the elderly ward. For older patients with prolonged residential hospital care, it is unclear whether repeated use of the STRATIFY tool would enhance its clinical effectiveness. Furthermore, the study identified   that the risk of falling, as measured on admission is not static and as a result the risk of falling during their subsequent hospital stay must be calculated and updated on a weekly basis. Smith et al (2006) did a similar study on the STRATIFY assessment tool for patients recovering from strokes.   Six stroke units in North of England with 359 participants were selected where they used this assessment.   Every member of staff was trained to use the tool. They average stay was 28 days and the age range was between 34 and 100 years.   Within this group, STRATIFY underperformed as a predictor of falls occurring in the 28 days following the initial assessment. Using the currently recommended score threshold (2 or more as high risk), STRATIFY was found to be inaccurate with a sensitivity rating of just 11.3%. The optimum STRATIFY threshold for our stroke patients was a score of one or more, but even optimising the risk indicator resulted in a sensitivity of just 60% and this was achieved at the expense of specificity.   This study also highlights that some of the questions were not appropriate for all stroke patients as they were not applicable such as mobility ques tions as well as the amount of falls since they have been admitted to hospital. Nazarko (2008) stated that there are further methods to manage risk management in falls and one of them is to assess the location of the nurse’s station which can play a crucial role in risk management especially amongst the elderly population. If patients are located in single rooms and out of sight from nurses and other healthcare staff, there is a greater risk in falls as staff are unable to identify those at risks and react as speedily to patients who are in need of assistance. For this reason, most of the patients hospitalized in wards who may be at risk of falls are moved closest to the nursing station, to assist nurses’ visibility and reduce the impact of falls. However, it is not possible to implement this practice in nursing homes with single rooms or any other wards where patients are located in single rooms. Downing (2011) states that there are more interventions that serve to improve patient care,   particularly amongst the elderly, such as the electronic alarm device which is located on the patient’s bed or chair. Every time the patient attempts to get up it will sound so that healthcare assistants can assist the patient before any fall can occur. These devices can help with high-risk patients who are confused or have got dementia. Pountney (2009a) also recommends the alarms which can be used for patients whosuffer from dementia or are confused and also add that light sensors can improve people from falls. According to Nazarko (2006), bad vision could be a major impact on patient’s falls, as up to 74% admitted patient from falls had a poor vision. Therefore falls cannot be removed but management may improve quality of life for those patients to use those light sensors, especially if patient is located in single rooms out of sings of nurses. Another option, Vitamin D supplements, are   identified as having a role to play in mitigating the impact of falls, as Vitamin D make bones stronger and as a lack of Vitamin D can have a affect on weakness of muscle and bones. The NHS National Institute for Clinical Excellence (2004) however, do not recommend Vitamin D asthey feel there is inconclusive evidence advocating its use. According to Help the Aged (2004) risk assessments and monitoring will not guarantee to stop people from falling, however nurses will be able identify through assessment of potential risk to minimise this and improve patient safety with appropriate action taken. Pountney (2009a) further emphasises that the requirements of risk management must be weighed against the need to empower patients to remain independent and must not overpower the quality aspects of their everyday routine. The aim is to minimize patients from injury but also to encourage their mobility for better quality of life. Therefore managers have got a responsibility for managing risk against effective policy, ensuring staff are fully trained, as well as fostering a good environment to minimize risk of falls to support patients’ well being, as well as quality of life Pountney (2009b) Nazarko (2009) states some patients with conditions generally affecting the elderly such as MS and Parkinsons  disease may have many falls but if the opportunity to walk is removed to prevent falls, it is regarded as more harmful as the patient will have reduced confidence and independency. Nazarko (2009) agrees withSwan (2007) that most of the falls that occur in hospitals are not major injuries, however any falls can have a major impact on each patient as they may lose their confidence as well as dignity.   The patient’s quality of life may change dramatically as they may not be able to undertake daily activities. A loss of confidence and the inability to undertake daily routine can make the patient weaker as well as make the patient feel more isolated (Nazarko 2009). Pountney (2009) state that a lack of training of staff on falls can have a negative impact on patients which will cause inappropriate practice, but also further state that this can cause the unwanted implication to staff, where nurses will have to deal with complaints and increased workload, which leads to increased anxiety. According to Mitchell (2007), one of the major management tools to prevent falls is through the education of staff, as well as patients. Therefore nurses and other healthcare professionals who have contact with patients must have easy access to the tools, whether e-learning or manual.   Whichever one is more suitable for the individual and encompasses as minimum basic skills to maintain acceptable practice. To provide best practice in falls prevention, audits must also be carried out on a regular basis. The author used examples to explain why they chose risk management in falls as a topic.This essay explained what risk is and how risk must be identify before any action is taken. The evidence has also found that if we learned from previous mistakes risk could be reduced as improving patient safety which ultimately reduces costs. The five easy steps of HSE risk assessment were highlighted as best practice throughout the healthcare setting. This statistics provided from England and Wales as well as statistics from Scotland, demonstrated the widespread issue that falls are a major problem for the elderly population outside as well as inside of the hospital settings. Moreover various study show that most falls happening in nursing homes. The essay also focused in-depth at two studies analysing the effectiveness and appropriateness of the STRATIFY risk assessment tool. Both studies were using the STRATIFY assessment risk tool in different healthcare settings. Furthermore studies show that STRATIFY assessment risk is successful for the younger population but not as successful with older population over 75 and also that it did not appear to be helpful with stroke patients as some questions were inappropriate. There was a focus on how falls could be prevented as there are so many different reasons for patients having a fall. For some of them it could be due to their illness, medication, nursing station location, whether it is morning or night. This essay illustrates the critical role nurse’s play in providing the best possible care and support to patients. Nurses should be specially trained and educated to provide the best care to minimise patients from falls and maximize patients protection. References: Barker, A., Kamar, J. Graco, M. 2011, â€Å"Adding value to the STRATIFY falls risk assessment in acute hospitals†, Journal of Advanced Nursing, vol. 67, no. 2, pp.   450-7. Department of Health. 2006, â€Å"Safety First: a report for patients, clinicians and healthcare managers† [online]. Available from: dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_064159.pdf [Accessed 22nd March 2011]. Downing, W. 2011, â€Å"Preventing falls: how to monitor risk and intervene†, Nursing Residential Care, vol.13, no.2, pp. 82 – 84. Fullbrook , S. 2007, â€Å"The duty of care 2: risk assessment and risk management†, British Journal of Nursing, vol. 16, no. 2, pp.112 – 113. Health and Safety Executive. 2006, â€Å"Five steps to risk assessment† [online]. Available from: hse.gov.uk/pubns/indg163.pdf [Accessed 2nd March 2011]. Help the Aged. 2004, â€Å"Preventing Falls; Managing the risk and effect of falls among older people in care homes† [online]. Available from: housingcare.org/downloads/kbase/2312.pdf [Accessed 2nd March 2011]. Hughes, R. Marshall, R. 2009, â€Å"An introduction to risk management in residential care†   Nursing Residential Care, vol.11, no. 7, pp. 356 – 358. Kennedy, K. 2010, â€Å"A critical analysis of the NSF for Older People standard 6: falls†, British Journal of Nursing, vol. 19, no. 8, pp. 505 – 510. Kennedy, S. 2008, â€Å" The health professional’s role in helping patients understand the concept of cardiovascular risk†, British Journal of Cardiac Nursing, vol. 3, no. 11, pp. 522 – 526. Leyshon, S. 2005, â€Å"Principles of risk management in community nursing†, British Journal of Community Nursing, vol. 10, no. 7, pp. 330-333. Milisen, K., Staelens, N., Schwendimann, R., De Paepe, L., Verhaeghe, J., Braes, T., Boonen, S., Pelemans, W., Kressig, R.W. Dejaeger, E. 2007, †Fall prediction in inpatients by bedside nurses using the St. Thomass Risk Assessment Tool in Falling Elderly Inpatients (STRATIFY) Instrument: a multicenter study†, Journal of the American Geriatrics Society, vol. 55, no. 5, pp. 725-33. Mills, H. Bowker, E. 2007, â€Å"Conducting a risk assessment in neuroscience practice: principles and procedure†, British Journal of Neuroscience Nursing, vol. 3, no. 5, pp. 223 – 226. Mitchell, E. 2009, â€Å"The impact of falls on residents and staff: managing riskâ€Å", Nursing Residential Care, vol.11, no.5, pp. 258 – 260. National Patient Safety agency (NPSA). (2007), â€Å"Slips, trips and falls in hospitals† [online]. Available from: nrls.npsa.nhs.uk/resources/?entryid45=59821 [Accessed 24th March 2011]. Nazarko, L. 2005, â€Å"Reducing the risk of falls among older people†, Nursing Residential Care, vol. 7, no. 2, pp. 67 – 70. Nazarko, L. 2006, â€Å" Falls prevention in practice: guidance and case study†, British Journal of Community Nursing,   vol. 11, no. 12, pp. 527 – 529. Nazarko, L. 2007, â€Å"Reducing the risk of falls in the care home†, Nursing Residential Care, vol.9, no.11, pp. 524 – 526. Nazarko, L. 2008, â€Å"Falls part 3: environmental risk factors†, British Journal of Healthcare Assistants , vol. 2, no. 10, pp. 487 490 . Nazarko, L. 2009, â€Å"Falls part 6: risk management†, British Journal of Healthcare Assistants, vol. 3, no. 2, pp. 87 – 90. NHS Great Glasgow and Clyde, 2011, A Home Checklist Which Can Save Lives. [online]. Available from: nhsggc.org.uk/CONTENT/default.asp?page=s1192_3newsid=11231back=s8_1 [Accessed 4th March 2011]. NHS National Institute for Clinical Excellence . 2004, â€Å"Falls: the assessment and prevention of falls in older people† (Clinical Guidelines 21). [internet]. London, NICE (Published 2004). 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Pountney, D. 2009b, â€Å"Preventing and managing falls in residential care settings†, Nursing Residential Care, vol.11, no.8, pp. 410 414 .      Swann, J. 2007, â€Å" Reducing the risk of falls: Part one†, Nursing Residential Care, vol. 9, no. 3, pp. 120 – 122. Tingle, J. 2006, â€Å"Improving patient safety in the NHS†, British Journal of Nursing , vol.15, no. 4, pp. 86. Waterhouse, C. 2007, â€Å"Development of a tool for risk assessment to facilitate safety and appropriate restraint†, British Journal of Neuroscience Nursing,   vol. 3, no. 9, pp 421 – 426. Weaver, D. 2008, â€Å"Effective strategies in managing falls prevention†, Nursing Residential Care, vol.10, no.5, pp. 217 – 222. Young, A. Woodcock, R. 2011, â€Å"Violence risk assessment in mental health practice: part 1†, British Journal of Healthcare Assistants, vol.5, no. 1, pp. 31 – 34.

The Cabinet Essay Example | Topics and Well Written Essays - 500 words

The Cabinet - Essay Example The 1962 cabinet represented high family-based ties in the political arena. Even though members of the cabinet had different personalities and backgrounds, they share close family relationships in one way or another. For example, the Al-Asabah family and the larger Asil family held a significant proportion of the cabinet over the aforementioned period. Majority of cabinet members came from influential Kuwaiti families. In this respect, dominant cabinet ministers also represented some of the most influential families in the history of Kuwait. Over and above family-based monopoly in the cabinet, a significant number of cabinet members were well off compared to the rest of the population. Majority of cabinet ministers came from wealthy families, and most importantly, they were wealthy themselves. This made them even more influential as far as the politics of the country were concerned. In addition, more than 50% of ministers in Kuwait were in their 30s or 40s in terms of age. This made the 1962-1988 Kuwait cabinet one of the most youthful around the world. Even as Kuwait made critical progress politically, education and literacy levels were still a challenge to the larger populace. Cabinet members had basic education, but most of them lacked advanced academic and professional experience. For example, the number of engineers in Kuwait was significantly low at a time when the newly independent nation was striving to invest heavily in technological development. In 1962, engineers were less than ten in the entire Kuwaiti population. Critical disparities were also evident in regards to where ministers attended their school. Cabinet members with basic primary education attended school locally, and so did members who had secondary education. College and university degrees, however, required that education be accessed outside Kuwait. This shows that some Kuwaiti